Situational Judgement Flashcards
What does ‘A very appropriate thing to do’ mean?
-action helps to resolve part or all of problem
-in a suitable way
What does ‘Appropriate, but not ideal’ mean?
-can be done but is not necessarily the most appropriate response
What does ‘Inappropriate but not Awful’ mean?
-shouldn’t really be done but wouldn’t be terrible thing to be done
-because consequences are minor
What does ‘A very inappropriate thing to do’ mean?
-shouldn’t be done and would make things worse
-unethical behavior that would place patients or people at risk
What does ‘very important’ mean?
simply cannot be dismissed
What does ‘important’ mean?
-it is not vital but may make a difference
What does ‘of minor importance’ mean?
-mildly relevant
-won’t hurt if you forget to take it into account
What does ‘not important at all’ mean?
either irrelevant or makes you think Who cares?
Lack of integrity would be ranked as what?
Very Inappropriate, would not be forgiven, nothing a person could say or do will ever make it acceptable
-will always be considered ‘not important at all’
Examples of Lack of Integrity:
-lying to anyone if the intention is to mislead- exception: white lies
-Cheating of any kind
-covering mistakes or problems even if by fear
-stealing, doing anything criminal
-not recognizing your limitations and pretending you know something when you don’t
-breaching confidentiality,
-discussing internal issues in a public forum
-having relationships with patients
What does it mean by lying to someone if the intention is to mislead?
-lying to anyone if the intention is to mislead- exception: white lies, e.g. things that would stop patient feeling anxious (Appropriate, but not ideal)
What does it mean by covering mistakes by fear?
-covering mistakes or problems even if by fear- should challenge other collogues if their behavior is inappropriate
What does it mean by recognizing your limitations?
-not recognizing your limitations and pretending you know something when you don’t — having a ‘go’ at something when you have no expertise, when a patient asks you to explain something you are unsure of or collegue asks you to perform a procedure that you are not qualified to undertake, applies whther you are under pressure or not, simply no excuse
What does it mean by breaching confidentiality?
-breaching confidentiality, looking up patient records when they are non of your concern, sharing info about patients with others even if accidental e.g. leaving patient records somewhere, even if patient is unidentifiable
What do we mean by teamwork?
-supporting collogues appropriately
-do not impose burdens on them
-involve them in relevant matters + discussions
-show you respect them
What does it mean by discussing internal issues on a public forum?
-discussing internal issues in a public forum e.g. undermining health care provided on bus, social media etc., could undermine public confidence in care provided there
Examples of bad Team work:
-undermining a colleague in front of a patient (very inappropriate)
-reporting colleagues to their supervisors without addressing the issue with the colleague first
-ignoring complaints from colleagues about your behavior
-pulling out of prearranged meetings without appropriate communication )
-dumping your problems onto other people
-rudeness, even if provoked (inappropriate but not awful)
What do we mean by reporting colleagues to their supervisors?
-reporting colleagues to their supervisors without addressing the issue with the colleague first for simple issues with benign consequences, ( inappropriate but not awful) , however it is appropriate to seek advice from someone you trust before discussing the matter directly with the colleague in question
What do we mean by ignoring complaints from colleagues about our behaviour?
-ignoring complaints from colleagues about your behavior (usually very inappropriate- you may not change your behaviour after reflection but you would at least need to acknowledge the issue and look into it )
What do we mean by dumping your problems onto other people?
-dumping your problems onto other people, such as asking another colleague to take on a more menial or boring task, just because you have more interesting things to do (appropriate but not awful) generally, you must demonstrate you can take responsibility for your own problems
What do we mean by pulling out of prearranged meetings?
-pulling out of prearranged meetings without appropriate communication (inappropriate but not awful- unless the prearranged meetings were about patient care or within mandatory attendance, in which case it would very inappropriate)
Listening or reassuring a patient should always be ranked as what?
very appropriate or very important
Give an example of a clinical emergency that would need prioritizing
A patient- not an emergency- sprained ankle might be able to wait
if something more pressing needs addressing
e.g. a lost child
its not ideal but its appropriate
You should ensure ____________ communication with everyone
Timely
What should you not do that might __ the patient
harm
Example of patient harm in a clinical setting
Includes harm such as making them loose confidence in the health service or their doctor
Answer according to what you _________ do not what you __________ do
Answer according to what you should do not what you would do
A patient was given the wrong medication, What is STEP 1?
Clinical Solution
-making sure patient is fine by reversing effects of medication or just keeping an eye on them
A patient was given the wrong medication, What is STEP 2?
Patient Communication
-be honest with the people about the mistake, apologise and explain what happened
A patient was given the wrong medication, What is STEP 3?
Colleague communication
-making sure a senior doctor is alerted
A patient was given the wrong medication, What is STEP 4?
Documentation
-document the mistake in the notes
A patient was given the wrong medication, What is STEP 5?
Learn from the mistake
-raise it at a team meeting
-frequent mistakes= worth doing an audit to see frequency and change the way things are done in the department
Alert a Senior Colleague
Very Appropriate
Apologise to the patient and explain what happened and reassure everything is now in hand
Very Appropriate
Discuss the mistake at a team meeting and organize an audit
Very Appropriate
Explain what happened to the patient
Appropriate but not ideal
The fact that the apology does not feature in the statement essentially means it is not given
